DOL Form 5500 · JSON-LD · Markdown

KENTUCKY RIVER MEDICAL CENTER GROUP MEDICAL PLAN

Sponsored by JACKSON HOSPITAL CORPORATION · EIN 611285331 · TN

Participants
138
Active
138
Retired/sep receiving
0

Welfare benefits

4A Health (other than dental or vision)

Sponsor + Administrator

SponsorJACKSON HOSPITAL CORPORATION
Sponsor EIN611285331
Address1573 MALLORY LANE, SUITE 100, BRENTWOOD, TN, 37027
Phone6152213804
Business code (NAICS)622000
AdministratorQHCCS, LLC (EIN 383980467)
Plan number501
Plan effective2016-01-01
Filed for year2024
FundingGeneral assets

External sources

Source: DOL EBSA Form 5500 disclosure. Public domain.